Deskripsi Pekerjaan
Cardinal Health is seeking a detail-oriented Insurance Verification Specialist to join our dynamic healthcare team in Taguig City, Metro Manila. In this role, you will serve as a vital link between patients, healthcare providers, and insurance carriers, ensuring accurate verification of coverage and benefits. Your expertise will help streamline the insurance verification process, reduce claim denials, and improve patient satisfaction.
You will be responsible for conducting thorough verification of patient insurance policies, confirming eligibility, and documenting coverage details in our electronic health record (EHR) system. Collaborating closely with clinical staff and billing teams, you will resolve discrepancies, communicate coverage limits to patients, and ensure compliance with healthcare regulations and privacy standards. The ideal candidate is a proactive problemâsolver with strong communication skills, capable of managing highâvolume inquiries while maintaining accuracy.
At Cardinal Health, we value continuous learning and career growth. We offer competitive compensation, comprehensive benefits, and a supportive work environment that encourages professional development. If you thrive in a fastâpaced, customerâfocused setting and have a passion for healthcare administration, weâd love to hear from you.
Using our advanced verification platforms, you will perform realâtime eligibility checks, update insurance records, and generate reports that support process improvement initiatives. You will also participate in regular team meetings, receive ongoing training on evolving payer policies, and have opportunities to advance your career within the organization.
Tanggung Jawab
- Verify patient insurance coverage and eligibility through electronic portals and payer databases.
- Accurately document verification details, coverage limits, and policy restrictions in the EHR system.
- Collaborate with clinical and billing staff to resolve coverage discrepancies and ensure timely claim submission.
- Communicate coverage information to patients, answering questions and providing clear explanations of benefits.
- Maintain compliance with healthcare regulations, privacy standards, and company policies.
- Participate in continuous improvement projects, training sessions, and performance metrics reviews.
Kualifikasi
- Minimum of 1 year of experience in insurance verification, medical billing, or customer service in a healthcare setting.
- Strong understanding of health insurance plans, including HMO, PPO, and government programs.
- Excellent verbal and written communication skills in English; Filipino language is a plus.
- Proficient in using EHR and insurance verification software; experience with MedeAnalytics or similar platforms is advantageous.
- Detailâoriented with the ability to multitask in a highâvolume, fastâpaced environment.
- High school diploma or equivalent; college degree in healthcare administration, nursing, or related field is preferred.